Ellen D Gould, RDH
Individual provider Active NPI Dental Hygienist · Brewster, MA
NPI 1578878591 · NPPES record last updated Aug 13, 2010
Key facts
- NPI
- 1578878591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 5762 (MA)
- Practice address
- 103 Lake Shore Dr
Brewster, MA 02631-2429 - Phone
- (877) 654-7878
- NPI assigned
- Aug 13, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5762 | MA | Yes |
Addresses
Primary practice location
103 Lake Shore Dr
Brewster, MA 02631-2429
Mailing address
PO Box 990284
Boston, MA 02199-0284
Phone (508) 237-5378
Other providers in Brewster, MA
- Richard Gardiner
- Geriatric Facilities of Cape Cod, Inc.
- Jane Orkin Glazer
- Barbara M Gleason
- Alison Joan Gorman
- Scott M. Graham
- Herbert L Gumpright Jr.
- Thomas Gunning
- Harborside Psychiatrics LLC
- Joan E Hay
All providers in Brewster, MA · Dental Hygienist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.